Provider Demographics
NPI:1013470103
Name:DALGLEISH, STEVEN GILBERT
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GILBERT
Last Name:DALGLEISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 HOBSON ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2454
Mailing Address - Country:US
Mailing Address - Phone:509-386-4807
Mailing Address - Fax:
Practice Address - Street 1:1151 HOBSON ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2454
Practice Address - Country:US
Practice Address - Phone:509-386-4807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-07
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA606505281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical